• Title/Summary/Keyword: OCT(Optical Coherence Tomography)

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Relationship between Progressive Changes in Lamina Cribrosa Depth and Deterioration of Visual Field Loss in Glaucomatous Eyes

  • Kim, You Na;Shin, Joong Won;Sung, Kyung Rim
    • Korean Journal of Ophthalmology
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    • v.32 no.6
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    • pp.470-477
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    • 2018
  • Purpose: To investigate the relationship between the progression of visual field (VF) loss and changes in lamina cribrosa depth (LCD) as determined by spectral-domain optical coherence tomography (SD-OCT) enhanced depth imaging in patients with primary open angle glaucoma (POAG). Methods: Data from 60 POAG patients (mean follow-up, $3.5{\pm}0.7$ years) were included in this retrospective study. The LCD was measured in the optic disc image using SD-OCT enhanced depth imaging scanning at each visit. Change in the LCD was considered to either 'increase' or 'decrease' when the differences between baseline and the latest two consecutive follow-up visits were greater than the corresponding reproducibility coefficient value ($23.08{\mu}m$, as determined in a preliminary reproducibility study). All participants were divided into three groups: increased LCD (ILCD), decreased LCD (DLCD), and no LCD change (NLCD). The Early Manifest Glaucoma Trial criteria were used to define VF deterioration. Kaplan-Meier survival analysis and Cox's proportional hazard models were performed to explore the relationship between VF progression and LCD change. Results: Of the 60 eyes examined, 35.0% (21 eyes), 28.3% (17 eyes), and 36.7% (22 eyes) were classified as the ILCD, DLCD, and NLCD groups, respectively. Kaplan-Meier survival analysis showed a greater cumulative probability of VF progression in the ILCD group than in the NLCD (p < 0.001) or DLCD groups (p = 0.018). Increased LCD was identified as the only risk factor for VF progression in the Cox proportional hazard models (hazard ratio, 1.008; 95% confidence interval, 1.000 to 1.015; p = 0.047). Conclusions: Increased LCD was associated with a greater possibility of VF progression. The quantitative measurement of LCD changes, determined by SD-OCT, is a potential biomarker for the prediction of VF deterioration in patients with POAG.

Vascular Morphometric Changes During Tumor Growth and Chemotherapy in a Murine Mammary Tumor Model Using OCT Angiography: a Preliminary Study

  • Kim, Hoonsup;Eom, Tae Joong;Kim, Jae Gwan
    • Current Optics and Photonics
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    • v.3 no.1
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    • pp.54-65
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    • 2019
  • To develop a biomarker predicting tumor treatment efficacy is helpful to reduce time, medical expenditure, and efforts in oncology therapy. In clinics, microvessel density using immunohistochemistry has been proposed as an indicator that correlates with both tumor size and metastasis of cancer. In the preclinical study, we hypothesized that vascular morphometrics using optical coherence tomography angiography (OCTA) could be potential indicators to estimate the treatment efficacy of breast cancer. To verify this hypothesis, a 13762-MAT-B-III rat breast tumor was grown in a dorsal skinfold window chamber which was applied to a nude mouse, and the change in vascular morphology was longitudinally monitored during tumor growth and metronomic cyclophosphamide treatment. Based on the daily OCTA maximum intensity projection map, multiple vessel parameters (vessel skeleton density, vessel diameter index, fractal dimension, and lacunarity) were compared with the tumor size in no tumor, treated tumor, and untreated tumor cases. Although each case has only one animal, we found that the vessel skeleton density (VSD), vessel diameter index and fractal dimension (FD) tended to be positively correlated with tumor size while lacunarity showed a partially negative correlation. Moreover, we observed that the changes in the VSD and FD are prior to the morphological change of the tumor. This feasibility study would be helpful in evaluating the tumor vascular response to treatment in preclinical settings.

Study on an Image Reconstruction Algorithm for 3D Cartilage OCT Images (A Preliminary Study) (3차원 연골 광간섭 단층촬영 이미지들에 대한 영상 재구성 알고리듬 연구)

  • Ho, Dong-Su;Kim, Ee-Hwa;Kim, Yong-Min;Kim, Beop-Min
    • Progress in Medical Physics
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    • v.20 no.2
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    • pp.62-71
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    • 2009
  • Recently, optical coherence tomography (OCT) has demonstrated considerable promise for the noninvasive assessment of biological tissues. However, OCT images difficult to analyze due to speckle noise. In this paper, we tested various image processing techniques for speckle removal of human and rabbit cartilage OCT images. Also, we distinguished the images which get with methods of image segmentation for OCT images, and found the most suitable method for segmenting an image. And, we selected image segmentation suitable for OCT before image reconstruction. OCT was a weak point to system design and image processing. It was a limit owing to measure small a distance and depth size. So, good edge matching algorithms are important for image reconstruction. This paper presents such an algorithm, the chamfer matching algorithm. It is made of background for 3D image reconstruction. The purpose of this paper is to describe good image processing techniques for speckle removal, image segmentation, and the 3D reconstruction of cartilage OCT images.

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Fabrication and Output Characteristics of a High-Speed Wavelength Swept Mode-Locked Laser (고속 파장가변 모드잠김 레이저의 제작 및 출력특성)

  • Lee, Eung-Je;Kim, Yong-Pyung
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.6
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    • pp.1117-1121
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    • 2007
  • We demonstrate a wavelength swept mode-locked ring laser for the frequency domain optical coherence tomography(FD OCT). A laser is constructed by using a semiconductor optical amplifier, fiber Fabry-Perot tunable filter and 2.6 km fiber ring cavity. Mode-locking is implemented by 2.6 km fiber ring cavity for matching the fundamental or harmonic of cavity roundtrip time to a sweep period. The wavelength sweeps are repetitively generated with the repetition period of 77.2 kHz which is the parallel resonance frequency of Fabry-Perot tunable filter for the low driving current consumption of the fiber Fabry-Perot tunable filter. The wavelength tuning range of the laser is more than FWHM of 61 nm centered at the wavelength of 1320 nm and the linewidth of the source is $0.014{\pm}0.002$ nm.

Early-Stage Diagnosis of Cervix using the Polarization Sensitive Optical Coherence Tomography(A Preliminary Study) (편광 민감 광결맞음 단층 촬영 장치를 이용한 자궁경부의 조기 진단(A Preliminary Study))

  • Kang, Jin-Ho;Lee, Sang-Won;Yoo, Ji-Yeong;Kang, Moon-Sik;Kim, Beop-Min;Yoon, Bo-Sung;Kim, Young-Tae;Cho, Nam-Hoon
    • Korean Journal of Optics and Photonics
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    • v.18 no.5
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    • pp.367-372
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    • 2007
  • Cervical dysplasia induces morphologic changes in the cervical epithelium which involve changes in the nuclear/cytoplasmic (N/C) ratio. Since the nucleus is one of the significant scattering sources, the N/C ratio change reflects the degree of circular polarization (DOCP) with the depth of signals. Therefore, we used the polarization-sensitive OCT (PS-OCT) technique to measure the polarization changes caused by scattering. Cervical tissues were obtained from a high-grade squamous intraepithelial lesion (H-SIL) of one woman and from low normal women. We obtained the mean of the DOCP as a function of depth in the cervix and quantified the change ratio of the DOCP using slopes that were determined by linear fits in the epithelium layer. We found that DOCP of H-SIL decayed faster than that of normal tissue because of the higher scattering in H-SIL as expected. This result indicates that the PS-OCT system might be useful in measurements of change ratio of DOCP with depth for screening of cervical dysplasia.

OCT를 기반으로 한 FFR지표계산과 임상결과 비교에 대한 연구

  • Sin, Seong-Ung;Lee, Gyeong-Eun;Lee, Seo-Ho;Bang, Hyeon-Gi;Lee, Jong-Ho;Park, Seon-Yeol;Lee, Yeong-Gwon;Sim, Eun-Bo
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.628-630
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    • 2017
  • 관상동맥의 협착 병변의 위험성을 치료 및 예방하기 위하여 FFR(Fractional flow reserve)이라는 지표를 사용한다. 기존의 임상에서 FFR을 측정하기 위하여 침습적인 방법을 이용하여 진행하였다. 이러한 침습적 방법은 부작용의 위험성을 가지고 있기 때문에 컴퓨터 시뮬레이션을 통해 계산하면 위험성을 해소할 수 있다. 하지만 현재 컴퓨터 시뮬레이션은 CT image를 이용하기 때문에 칼슘을 정확히 구별하거나 지질의 위치 등을 확인하는 것이 어렵기 때문에 FFR 결과에 오류를 발생시킬 수도 있고, 또한 전체 관상동맥을 해석하기 때문에 많은 계산량이 필요하다. 본 연구에서는 최근 높은 해상도를 가진 OCT(Optical Coherence Tomography)를 이용하여 이러한 한계점을 극복하고자 하고, 임상에서 측정한 FFR과 OCT에서 측정된 FFR은 비교하는 것이 목적이다.

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OCT Signal Analysis and Optimization in Dental Medium using Monte-Carlo Simulation (몬테카를로 시뮬레이션을 이용한 치아 조직내 OCT 신호 해석 및 최적화)

  • 황대석;이승용;김신자;류광렬;이호근;이영우
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2004.05b
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    • pp.321-323
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    • 2004
  • We developed the monte-carlo simulation code for analysis of the On signal in dental medium. In calculation, we obtain the two different propagation signals as a function of the probing depth. Signal 2 begins to exceed the signal 1 at a very small probing depth(=60${\mu}{\textrm}{m}$). For reduce the signal, detection area is limited to radius and detection angle. As numerical result, probing depth becomes appoximately 500${\mu}{\textrm}{m}$.

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